CCP Eligibility Form

Career and College Promise Pathway Eligibility Form
Name*

First NameMiddle NameLast Name
Year Entering*
Term Entering*

FallSpringSummer
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County*
Home Phone Number*
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Applicant's School Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Are you a North Carolina Resident?*

YesNo
Are you Hispanic or Latino?*

YesNo
Race/Ethnic Background*

American IndianAsianBlackHispanicOtherWhite
Gender

FemaleMale
Education Goals *
Expected Graduation (Month/Year)*
High School Type*

PublicPrivateHomeCharter
High School Name*
Current Grade*

9th10th11th12th
Important Information for Applicants:
- Permanent College Transcript: All grades earned at Vance Granville Community College (VGCC) will become part of the student’s permanent college transcript and will follow them throughout their college career and will be considered with all future applications for college admission and financial aid. If a student applies to another college, they will be required to submit a VGCC transcript.
- High School Transcript: All grades earned at Vance Granville Community College are reported to the high school and may become part of the student’s permanent high school transcript.
- Course Withdrawals: Dropping or withdrawing from a college course without permission from the principal may reflect negatively on the student’s high school transcript and may result in a financial obligation between the student and the high school.
- Attendance: There may be differences between the VGCC calendar and the high school calendar (starting and ending dates, holiday breaks, etc Courses on the college campus follow the college calendar. Students may be expected to attend college courses when their high school is closed or does not have high school classes scheduled.
- Study Time: Expect to spend 2-3 hours on work outside of class for every hour in class.
- To maintain eligibility for continued enrollment in CCP, I understand that I must continue to make progress toward high school graduation and maintain a 2.0 GPA in college coursework after completing two courses.
- Student Conduct: Students are expected to conduct themselves appropriately and must comply with Vance Granville Community College’s policies and standards of conduct as outlined in the Student Catalog (www.vgcc.edu/catalog
- Tuition: Tuition for CCP students is waived.
- Fees: Students are responsible for fees unless waived by the college or your high school has agreed to pay fees.
- Participation: 9 and 10grade students may only apply for designated CTE pathways. See notes on pages 3-4 on the PDF - click Preview PDF at the Bottom to View.
- Textbooks: Students are responsible for all required textbooks and course supplies unless provided by the student’s high school.
Applicants may select 1 College Transfer Pathway AND 1 Career & Technical Education Pathway OR 2 Career & Technical Education Pathways. To select a second pathway, a Special Permission Form is required.
Pathway Name & Code Choice #1*
I am interested in selecting a second pathway and will meet with my counselor to complete a Special Permission Form. (Note: A second pathway cannot be added without the Special Permission Form.)*

YesNo
Pathway Name & Code Choice #2 (optional)
Student and Parent: Please sign and date below. Applications will not be processed without signatures.

I certify the information I have given is true to the best of my knowledge. I understand that falsification or failure to supply the correct information may be grounds for rejection or dismissal. I have read and understand the information outlined in the Important Information for Applicants section. I authorize Vance Granville Community College CCP Advisors and Dean of K-12 Partnerships to release information regarding my academic record/transcript, including attendance information, to my parent/guardian and high school staff.
Applicant Signature*

Clear
Date*

MonthDayYear
Date
I have reviewed the Information in the Important Information for Applicants section with my child. I give permission for my child to enroll and take classes at Vance Granville Community College.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Principal/Designee Email Address - Please input a Valid Email Address for the High School Principal/Designee so that they may receive and sign this form.*
example@example.com
Please select your Respective County's Representative*
Students outside of these four counties should select the representative from the county where you expect to attend classes or that which is closest to you.

To be Completed & Certified by the High School Principal/Designee
CCP students must be a junior or senior at the beginning of the desired entry term and must have an unweighted high school GPA of 2.8 or higher OR demonstrate college-readiness on an approved assessment (see page 5 on the PDF - click Preview PDF at the Bottom to View). 9th and 10th grade students, as well as students without an unweighted high school GPA of 2.8 or qualifying test scores will only be considered for Career and Technical Education (CTE) Pathways with recommendation from the principal and the approval of the college designee (special permission form required).
Current Unweighted GPA (minimum 2.8 unweighted)*
OR
Applicant has demonstrated college readiness on an approved assessment. Scores may be combined from multiple tests.

YesNo
Please attach all applicable, official test score reports.

Cancelof
I certify this student meets the eligibility requirements for the Career & College Promise program. I also understand this is the high school's responsibility to monitor student eligibility and to inform Vance Granville Community College if/when a student becomes ineligible for the program.

Please attach the student's signed transcript and/or official test score report(s) if applicable.
File Upload

Cancelof
Principal/Designee Signature*

Clear
Date*

MonthDayYear
Date

Submission Section
Applications will not be processed without required signatures and until all required documents have been received. Applications not meeting minimum eligibility requirements will be disapproved.
Should be Empty:

Career and College Promise Pathway Eligibility Form

Important Information for Applicants: